The performance of posyandu cadres reflects the results of the implementation of tasks and responsibilities carried out in health service activities for the elderly. Optimal performance plays an important role in creating satisfaction for the elderly as recipients of posyandu services. This satisfaction reflects the expectations and perceptions of the elderly regarding the quality of services provided by cadres during the activities. This study aims to evaluate the quality of posyandu cadre performance and its relationship to the level of satisfaction of the elderly in the work area of the PON Village Health Center. This study used an associative design with a quantitative approach, involving 134 elderly respondents as samples. The instrument used in data collection was a structured questionnaire. The results of the analysis showed that the cadre performance variable consisted of two main factors, namely attitude and activity. Meanwhile, the elderly satisfaction variable was formed from three factors, namely reliability, empathy, and the suitability of expectations with reality. Statistical analysis showed a significant relationship between cadre performance and the level of satisfaction of the elderly, with a P value of 0.000 (p <0.05). Based on these findings, it is recommended that posyandu cadres continue to improve their productivity and quality of service. Cadres are also expected to actively participate in coaching programs from the Health Center and be more optimal in conveying information to the elderly during the implementation of integrated health post activities.